Unique ID issued by UMIN | UMIN000023479 |
---|---|
Receipt number | R000027036 |
Scientific Title | Comparion of the infusion rate of rocuronium necessary for obtain adequate surgical muscle relaxation between before and during hepatectomy with Pringle maneuver. |
Date of disclosure of the study information | 2016/08/08 |
Last modified on | 2021/02/14 22:48:10 |
Comparion of the infusion rate of rocuronium necessary for obtain adequate surgical muscle relaxation between before and during hepatectomy with Pringle maneuver.
Comparion of the infusion rate of rocuronium between before and during hepatectomy with Pringle maneuver.
Comparion of the infusion rate of rocuronium necessary for obtain adequate surgical muscle relaxation between before and during hepatectomy with Pringle maneuver.
Comparion of the infusion rate of rocuronium between before and during hepatectomy with Pringle maneuver.
Japan |
Surgical patients requiring hepatectomy with Pringle maneuver
Anesthesiology |
Malignancy
NO
We investigate a continuous infusion rate of rocuronium necessary for obtain optimal muscle relaxation, before and during hepatectomy with Pringle maneuver.
Pharmacodynamics
continuous infusion rate for obtain muscle relaxasion(before, during, and after Pringle maneuver)
measured blood concentration of rocuronium during stable state of optimalmuscle relaxation
Interventional
Single arm
Non-randomized
Open -no one is blinded
Self control
1
Treatment
Medicine |
We adjust a continuous rocuronium infusion rate to keep T1 twitch hight from 3 to 10% with acceleromyography on the adductor pollicis in response to electrical stimulation of the ulnar nerve, also keep T1 hight to the same level during a Pringle maneuver by changing an infusion rate of rocuronium.
20 | years-old | <= |
Not applicable |
Male and Female
1)ASA physical status 1~3
2)age=>20
3)total venous anesthesia with propofol
4)Operation time=>3hours
5)written informed consent was obtained from the patients before the surgery
excluded if any one of the following criteria applied:
1) probably pregnant
2) abnormal serum electrolytes (Na +, K +, or Cl-)
3) renal dysfunction (serum creatinine greater than 2.0 mg/dl)
4) liver dysfunction (ALT and/or AST beyond twice the normal range)
5) ICG15=>15%
6) Child-Pugh classification=>B
7) emaciation (body mass index (BMI) less than 17), obesity (BMI more than 30)
8) neuromuscular disorders,
9) a history of hypersensitive reaction to Rb,
10) a history of treatment with drugs known to interact with Rb, such as aminoglycoside antibiotics, anticonvulsants, formulation lithium, or magnesium
11) hypothermia during anesthesia
12) systemic allergy
13) inappropriate patients judged by physician-in-charge
25
1st name | Akira |
Middle name | |
Last name | Kajiura |
Saitama Medical Center, Jichi Medical University
Department of Anesthesiology and Critical Care Medicine
3308503
1-847, Amanuma-cho, Oomiya-ku, Saitama 330-8503, Japan
048-647-2111
kajiura-hki@umin.ac.jp
1st name | Akira |
Middle name | |
Last name | Kajiura |
Saitama Medical Center, Jichi Medical University
Department of Anesthesiology and Critical Care Medicine
3308503
1-847, Amanuma-cho, Oomiya-ku, Saitama 330-8503, Japan
048-647-2111
kajiura-hki@umin.ac.jp
Saitama Medical Center, Jichi Medical University
Saitama Medical Center, Jichi Medical University
Self funding
Jichi medical university, Saitama medical center
1-847, Amanuma-cho, Omiya-ku, Saitama-city, Saitama
0486472111
kaji-akira@jichi.ac.jp
NO
2016 | Year | 08 | Month | 08 | Day |
https://pubmed.ncbi.nlm.nih.gov/29704050/
Published
https://pubmed.ncbi.nlm.nih.gov/29704050/
18
The infusion rate of rocuronium before, during, and after the Pringle maneuver was 7.2
plus or minus 1.8, 4.2 plus or minus 1.4, and 4.7 plus or minus 1.5 mcg/kg/min (mean plus or minus SD), respectively. The rocuronium infusion rate during the Pringle maneuver was decreased about 40% compared to that before this maneuver, and that after completion of the Pringle maneuver was not recovered to that before the Pringle maneuver. The 25% recovery time was 20 plus or minus 7 min.
2021 | Year | 02 | Month | 14 | Day |
Hepatectomy patients with Pringle maneuver
Obtained research consent before hepatectomy
none
The infusion rate of rocuronium before, during, and after the Pringle maneuver
Completed
2016 | Year | 06 | Month | 30 | Day |
2016 | Year | 06 | Month | 30 | Day |
2016 | Year | 08 | Month | 08 | Day |
2017 | Year | 06 | Month | 30 | Day |
2017 | Year | 06 | Month | 30 | Day |
2017 | Year | 06 | Month | 30 | Day |
2018 | Year | 04 | Month | 27 | Day |
2016 | Year | 08 | Month | 04 | Day |
2021 | Year | 02 | Month | 14 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000027036